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H. PREPAkER S\ is o..170Net.- 6 3 `p SS c CS rfUT'et •
Preparer of the Sales Disclosure Form Title ` on C W
Abbigail Moers Escrow Officer
Company
(IAA" A
Address(number and street, city.state,country and ZIP code) C •
605 SE Martin Luther King Jr Boulevard. Evansville IN United States of America 47713 ( 1(v I s ntf' - -N -t_ le*.
I. SELLER(S)IGRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on conveyance document
FREEDOM MORTGAGE CORPORATION,XOME REALTY 2 '7„ 2. i
SERVICES, LLC, its attorney-in-fact
Address(number and street) Address(number and street)
951 Yamato Rd.,Suite 175
City.State and ZIP Code City,State and ZIP Code
Boca Raton, FL 33431 ,
Country Country
United States of America
Sales Disclosure,to the best of my knowledge an b ' is true,correct and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and i e ti a falsifies the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 fe n
Signature of Seller Signature of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller FCag O ate signed(mm/dd/yyyy)
FREEDOM MORTGAGE
CORPORATION,XOME REALTY s 2024-t
SERVICES, LLC,its attorney-in-fact 0/e
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX
YES, NO CONDITION YES NO CONDITION
19/ DI 1. Will this property be the buyer's primary residence? C / ❑ 3. Homestead
❑ 0 4. Solar Energy Heating or Cooling System
0 i 2. Does the buyer have a homestead to be vacated for this ❑ p 5. Wind Power Device
residence'? If yes,provide address:
❑ El 6. Hydroelectric Power Device
Address(number and street) ❑ El 7. Geothermal Energy Heating or Cooling Device
City.State,ZIP code,and county
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Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct and complete
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